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ATLANTIC BACK AND BODY CLINIC LLC NPI 1336698349


NPI Information

NPI: 1336698349
Provider Name: ATLANTIC BACK AND BODY CLINIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
8 QUAKERBRIDGE PLZ STE 1
HAMILTON, NJ
ZIP 08619
Phone: (310) 989-8850
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ATLANTIC BACK AND BODY CLINIC LLC is a chiropractor in Hamilton, NJ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ATLANTIC BACK AND BODY CLINIC LLC NPI is 1336698349. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8 QUAKERBRIDGE PLZ STE 1
HAMILTON, NJ
ZIP 08619-255
Phone: (310) 989-8850

The provider's authorized official is Malynn T. Drake .
The authorized official title is Owner/doctor and has the following contact phone number (310) 989-8850.

The enumeration date for this NPI number is 10/3/2016 and was last updated on 10/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor38MC00738900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138MC00738900OTHERNEW JERSEYLICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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